Maternal omentin-1 level, quality of life and marital satisfaction in relation to mode of delivery: a prospective cohort study

Abstract

Background: The purpose of this study was to evaluate the maternal omentin-1 level, quality of life and marital satisfaction of women with cesarean and vaginal delivery. Methods: This prospective cohort study was conducted on 45 women with elective cesarean delivery and 45 women with vaginal delivery who referred to a public hospital in Tehran, Iran. Maternal omentin-1 level was measured by ELISA kits within 24 h after delivery. The maternal quality of life and marital satisfaction in the third trimester of pregnancy and at 12 weeks postpartum were measured using WHOQOL-BREF and the Kansas marital satisfaction questionnaires, respectively. For making between-groups and within-groups comparison, independent samples t-test, paired samples t-test and chi-square test were applied accordingly. Results: The level of maternal omentin-1 was reported to be higher in vaginal delivery group compared to the cesarean group (p = 0.02). No significant difference was found in the quality of life between the two groups in the third trimester of pregnancy and at 12 weeks postpartum period. However, women in both groups had lower scores in physical dimension at 12 weeks postpartum compared to the third trimester of their pregnancy [mean ± SD in vaginal group = 59.28 ± 15.5 vs. 64.44 ± 15.05, p = 0.003 and mean ± SD in cesarean group = 60.07 ± 14.84 vs. 66.50 ± 11.32, p < 0.001]. The results of paired samples t-test indicated that women in NVD group had significantly higher psychological wellbeing at 12 weeks postpartum compared to the third trimester of pregnancy [mean ± SD 68.9 ± 16.82 vs. 65.73 ± 16.87, p = 0.001]. There was no significant difference in marital satisfaction between the two groups at 12 weeks postpartum (P = 0.07). The results of paired samples t-test showed that women in CS group had significantly lower marital satisfaction at 12 weeks postpartum compared to the third trimester of pregnancy [mean SD 18.86 ± 2.04 vs. 19.28 ± 1.79, p = 0.01]. Conclusions: Our findings demonstrated that women with NVD had higher omentin-1 level than women with CS. No significant difference was found in quality of life and marital satisfaction between NVD and CS and omentin-1 level. High level of omentin-1 in NVD may act as a protective factor for mother against metabolic disorders.

Maternal serum adiponectin and leptin levels and their gene expression, postpartum body mass index, and breastfeeding duration based on mode of delivery: A prospective study

“…We previously reported the demographic and clinical characteristics of participants. 18 Based on the results of our study, the serum leptin level was significantly higher in NVD group compared to CS group (mean AE SD in NVD group 49.45 AE 24.00 vs. 39.89 AE 15.45 ng/mL in CS group; p = 0.033). The serum adiponectin level in CS group was not significantly different from NVD group (p = 0.232) (Figure 1).…”

“…Considering the rapid rise of CS rate worldwide, our study aimed to investigate the difference between maternal adiponectin and leptin levels and their gene expression at birth, maternal BMI, and breastfeeding duration at 24 months postpartum depending on the mode of delivery. Indeed, this study is a follow‐up of our previous study, where results have been reported elsewhere 18 . We released these findings late because the results of adiponectin and leptin levels and their gene expression were not ready when the first paper was submitted, and we also needed more time to determine the postpartum BMI as well as lactation duration.…”

“…Indeed, this study is a follow-up of our previous study, where results have been reported elsewhere. 18 We released these findings late because the results of adiponectin and leptin levels and their gene expression were not ready when the first paper was submitted, and we also needed more time to determine the postpartum BMI as well as lactation duration.…”

The Quality of Life on Mode of Delivery : A Literature Review

“…(Parvanehvar, Simin, et al, 2020) [19] 45 women with elective cesarean delivery and 45 women with vaginal delivery from a public hospital in Iran Women after spontaneous vaginal delivery have a better quality of life than women after caesarean section as dimension on physical, mental, emotional, environmental, and social aspects…”

“…During pregnancy, there are changes in the body's metabolism to meet the needs created by the increase in breast and genital tissue itself and the growth of the fetus and after birth [23]. The results of the cohort study showed that women who gave vaginal birth had higher omentin-1 levels than women who underwent caesarean section [19]. Omentin-1 is an adipokine produced mainly in adipose tissue, has anti-inflammatory, anti-bone loss, and insulin-sensitizing effects [24]- [26].…”